BEACON PRIMARY CARE LLC
NPI 1417772849
Family Medicine in Fairlawn, OH

Q: What is Beacon Primary Care LLC's NPI number?

The NPI number for Beacon Primary Care LLC is 1417772849. It was assigned to this organization in the NPPES registry on November 20, 2024.

Q: What is Beacon Primary Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 20, 2024CLIA 36D1100799 · Waiver

3009 SMITH RD STE 350, FAIRLAWN, OH 44333(330) 665-4488(330) 665-4489 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Beacon Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON PRIMARY CARE LLC (NPI 1417772849) is a healthcare organization registered as a family medicine in Fairlawn, Ohio and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through February 10, 2028 and lists Jennifer L Wurst, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1417772849

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBEACON PRIMARY CARE LLC

Location Address3009 SMITH RD STE 350Fairlawn, OH 44333-2670

Mailing Address3009 Smith Rd Ste 350Fairlawn, OH 44333-2670 · (330) 665-4488 · Fax (330) 665-4489

Phone(330) 665-4488

Fax(330) 665-4489

Organization SubpartNo

Authorized OfficialJennifer L WurstPhysician/owner · (216) 224-3052

Enumeration DateNovember 20, 2024

NPPES CertifiedNovember 20, 2024

✔ NPI 1417772849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3009 SMITH RD STE 350, Fairlawn, OH 44333

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1100799

Beacon Primary Care · Fairlawn, OH

Active · expires Feb 10, 2028

CLIA Number36D1100799

Laboratory TypePhysician Office

Certificate Effective DateFebruary 11, 2026

Certificate Expiration DateFebruary 10, 2028

Laboratory DirectorJennifer Wurst

Laboratory Phone(330) 665-4488

Laboratory LocationBeacon Primary Care3009 Smith Rd, #350, Fairlawn, OH 44333

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER LYNN WURST MD

Family Medicine

3009 SMITH RD STE 350
FAIRLAWN, OH 44333

Summit County (330) 665-4488

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beacon Primary Care LLC's NPI number?

The NPI number for Beacon Primary Care LLC is 1417772849. It was assigned to this organization in the NPPES registry on November 20, 2024.

Where is Beacon Primary Care LLC located?

Beacon Primary Care LLC is located at 3009 Smith Rd Ste 350, Fairlawn, OH 44333. The listed phone number is (330) 665-4488.

What is Beacon Primary Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Beacon Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1100799) is associated with this NPI, valid through February 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beacon Primary Care LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Beacon Primary Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beacon Primary Care LLC was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.